Other Dual SNP Member definition

Other Dual SNP Member means a Medicare managed care recipient who is also eligible for Medicaid, but for whom HHSC does not have a responsibility for payment of Deductibles, Coinsurance, or Co- payments under the Texas State Plan. To qualify as an Other Dual SNP Member, the recipient must be eligible to participate in, and voluntarily enrolled in, the MA Dual SNP’s MA Product. For purposes of this Agreement, Other Dual SNP Members are limited to the following categories of recipients: Medicaid Only, SLMB Only, QI, and QDWI. Qualified Disabled and Working Individual (QDWI) means an individual who lost Medicare Part A benefits due to returning to work, but who is eligible to enroll in the purchase of Medicare Part A. The individual must meet federal income and resource criteria, and may not be otherwise eligible for Medicaid. A QDWI is eligible only for Medicaid payment of Part A premiums. Qualified Medicare Beneficiary (QMB) means an individual who is entitled to Medicare Part A, meets federal income criteria, and whose resources do not exceed twice the Supplemental Security Income (SSI)
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Other Dual SNP Member means a Medicare managed care recipient who is also eligible for Medicaid, but for whom HHSC does not have a responsibility for payment of Deductibles, Coinsurance, or Co- payments under the Texas State Plan. To qualify as an Other Dual SNP Member, the recipient must be eligible to participate in, and voluntarily enrolled in, the MA Dual SNP’s MA Product. For purposes of this Agreement, Other Dual SNP Members are limited to the following categories of recipients [check all that apply under the terms of the MA Agreement]. If the Plan does not check any of the below categories and has no such members in its MA Dual SNP, then Plan will have no obligations under this Agreement with respect to Other Dual SNP Members. SLMB Only Medicaid Only QI QDWI ➢ QMB Only – means a QMB who does not qualify for any additional QMB Medicaid Benefits.
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Examples of Other Dual SNP Member in a sentence

  • D) Verify that the Dual Eligible Members and Other Dual SNP Member received the requested directory.

Related to Other Dual SNP Member

  • ☐ - MULTI-MEMBER The “Capital Account” for each Member shall mean the account created and maintained for the Member in accordance with Section 704(b) of the Internal Revenue Code and Treasury Regulation Section 1.704-1(b)(2)(iv).

  • crew member means a person assigned by an operator to duty on an aircraft during a flight duty period;

  • Permit Holder means the Person to whom a Building Permit has been issued.

  • Partnership Group Member means any member of the Partnership Group.

  • Staff member means a staff member as defined in section 1(1) of the Public Service Act, 1995 (Act No. 13 of 1995);

  • Minority group member means a United States citizen or permanent resident alien who is and can demonstrate membership in one of the following groups:

  • Support staff member means an employee who holds a position for which no certificate issued by the New Jersey State Board of Examiners is required.

  • Faculty member means any person hired by the college or District to conduct classroom or teaching activities or who is otherwise considered by the college to be a member of faculty.

  • Limited Partnership Interest means the ownership interest of a Limited Partner in the Partnership at any particular time, including the right of such Limited Partner to any and all benefits to which such Limited Partner may be entitled as provided in this Agreement and in the Act, together with the obligations of such Limited Partner to comply with all the provisions of this Agreement and of the Act.

  • Substituted Limited Partner means a Person who is admitted as a Limited Partner to the Partnership pursuant to Section 11.4.

  • Common Member means a Member holding Common Units.

  • Partnership Subsidiary means Host LP and any partnership, limited liability company, or other entity treated as a partnership for federal income tax purposes or disregarded as a separate entity for federal income tax purposes in which either Host REIT or Host LP owns (or owned on or after January 1, 1999) an interest, either directly or through one or more other partnerships, limited liability companies or other entities treated as a partnership for federal income tax purposes or disregarded as a separate entity for federal income tax purposes (whether or not Host REIT or Host LP has a controlling interest in, or otherwise has the ability to control or direct the operation of, such entity). Notwithstanding the foregoing, the term “Partnership Subsidiary” shall not in any way be deemed to include the Non-Controlled Subsidiaries or subsidiaries thereof, the Taxable REIT Subsidiaries or subsidiaries thereof, or the Subsidiary REITs or subsidiaries thereof.

  • non-member means a person (national or overseas) who is not a member of the Teaching Service e.g. new graduate, new overseas recruit, resigned teacher etc..

  • General Partnership Interest means a Partnership Interest held by the General Partner that is a general partnership interest.

  • Successor in Interest of Borrower means any party that has taken title to the Property, whether or not that party has assumed Borrower’s obligations under the Note and/or this Security Instrument.

  • Property Owner means any person shown as the owner of land on the last equalized assessment roll or otherwise known to be the owner of land by the city council. “Business owner” means any person recognized by the city as the owner of the business. “Owner” means either a business owner or a property owner. The city council has no obligation to obtain other information as to the ownership of land or businesses, and its determination of ownership shall be final and conclusive for the purposes of this part. Wherever this part requires the signature of the property owner, the signature of the authorized agent of the property owner shall be sufficient. Wherever this part requires the signature of the business owner, the signature of the authorized agent of the business owner shall be sufficient.

  • Derivative Partnership Interests means any options, rights, warrants, appreciation rights, tracking, profit and phantom interests and other derivative securities relating to, convertible into or exchangeable for Partnership Interests.

  • Class C Member means a Member holding the Class C Ordinary Share.

  • Project Entity means a Utah interlocal entity or an electric interlocal entity that

  • Section 385 Controlled Partnership has the meaning set forth in Treasury Regulation Section 1.385-1(c)(1) for a “controlled partnership”.

  • Teaching staff member means an employee who holds a position for which a certificate issued by the New Jersey State Board of Examiners is required.

  • Project Company means Company incorporated by the bidder as per Indian Laws in accordance with Clause no 3.5.

  • Project Owner means the legal entity that ultimately owns the Project and to which Tax Credits will be allocated.

  • Public member means an individual who is not, and never

  • Class B Member means a Member holding one or more Class B Ordinary Shares.

  • Qualified Ground Lease means each of the ground leases or ground subleases set forth on Schedule 1.01(d) hereto and for a Future Property means any ground lease (a) which is a direct ground lease or ground sublease granted by the fee owner of real property or a master ground lessee from such fee owner, (b) which may be transferred and/or assigned without the consent of the lessor (or as to which the lease expressly provides that (i) such lease may be transferred and/or assigned with the consent of the lessor and (ii) such consent shall not be unreasonably withheld or delayed) or subject to certain reasonable pre‑defined requirements, (c) which has a remaining term (including any renewal terms exercisable at the sole option of the lessee) of at least twenty (20) years, (d) under which no material default has occurred and is continuing, (e) with respect to which a Lien may be granted without the consent of the lessor (but subject to customary requirements regarding the nature of the holder of such Lien and prior notice to the lessor), (f) which contains customary and reasonable lender protection provisions, including, without limitation, provisions to the effect that (i) the lessor shall notify any holder of a Lien in such lease of the occurrence of any default by the lessee under such lease and shall afford such holder the option to cure such default, and (ii) in the event that such lease is terminated, such holder shall have the option to enter into a new lease having terms substantially identical to those contained in the terminated lease and (g) which otherwise contains no non-customary terms that are material and adverse to the lessee.